MEDICARE: DR. HOWARD LEE BARENFELD MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208000000X	Pediatrics Physician	175043-1	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1306847397
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. HOWARD LEE BARENFELD MD

Provider Business Mailing Address
First Line	:	91 LAKES ROAD
Second Line	:	MEDICAL ARTS BLDG
City	:	MONROE
State	:	NY
Zip	:	10950-2631
Country	:	US
Telephone Number	:	845-782-8608
Fax Number	:	845-782-8516

Provider Business Practice Location Address
First Line	:	91 LAKES ROAD
Second Line	:	MEDICAL ARTS BLDG
City	:	MONROE
State	:	NY
Zip	:	10950-2613
Country	:	US
Telephone Number	:	845-782-8608
Fax Number	:	845-782-8516

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/02/2005
Last Update Date	:	04/18/2013

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